Application

Please complete this application for boarding your dog with SoloDogs. If you have two dogs, please fill out an application for each dog. It will take 15-30 minutes to complete this form.

All fields are required. If a question is not applicable, please mark N/A.

Human Information

Human Name:

Email:

Phone:

City of Residence:


Dog Information

Dog Name:

Breed:

Weight:

Age:


Dog History

How long have you had this dog?

Where did you get this dog from? (shelter, rescue, breeder, friend...)

How many guardians has this dog had, other than you?

If you are not the first guardian (other than a breeder), why was this dog given up for adoption?

Is your dog spayed or neutered and at what age was this done:


Housetraining

Is your dog housetrained and at what age did s/he become reliable?

Has your dog ever marked (urinated to denote territory) inside your household?

Has your dog ever urinated out of excitement or fear inside your household?

Is your dog incontinent? Please note urine, feces or both and under what circumstances.


Behavior

What does your dog do when familiar people visit your home?

What does your dog do when unfamiliar people visit your home?

Does your mount people or objects?

Does your dog ever bark at you? Please detail:

Does your dog counter-surf (steal food or other objects from counters)? Please detail:

Does your dog climb or jump fences? Please detail:

Does your dog dig holes? Please detail:

Has your dog damaged property while you were away? Please detail:

Has your dog engaged in self-harm when you were away? Please detail:

Does your dog bark when you are gone? Please detail:

Does your dog bark or whine when they are crated or behind a baby gate when you are in another area of your house? Please detail:

Has your dog caused injury that required medical attention to:
A dog who lives in same householdA familiar dogAn unfamilar dogNever caused injury to any dog


Body Handling Tolerance

How does your dog react when the following body parts are handled?
Please mark worst behavior observed since you have owned dog.

Feet: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Legs: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Spine: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Belly: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Sides: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Chest: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Neck: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Ears: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Head: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Mouth: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites
Tail: Loves itNo reactionAvoidance (moves away)GrowlsSnarls/Bares TeethSnaps/Bites

Is there any other body part that I should not touch?


Dog Training

Has your dog had training from Ahimsa Dog Training? If yes, please describe whether it was a class or private trainer, including trainer(s) name:

Has your dog had training from another trainer? If yes, please list name of trainer, goals of training, and methods used. Please be very specific:

Has your dog experienced any of the following:

Choke Chain or Prong Collar Yes, CurrentlyYes, Previous OwnerNo

Shock CollarYes, CurrentlyYes, Previous OwnerNo

Invisible FenceYes, CurrentlyYes, Previous OwnerNo

Squirt BottleYes, CurrentlyYes, Previous OwnerNo

Physical PunishmentYes, CurrentlyYes, Previous OwnerNo

Being Alpha Rolled by HumansYes, CurrentlyYes, Previous OwnerNo

Citronella Anti-Bark CollarYes, CurrentlyYes, Previous OwnerNo

Has your dog worn a muzzle before? YesNo

Muzzle comments (dog's experience with muzzle, type of muzzle you use, why or why not accustomed to muzzle):


Homelife

How many people live in your household and what are their ages?

Describe your dog's relationship to the people in your home (friendly, fearful, hostile, aloof)

Approximately how much time does your dog spend each day without human companionship?

Describe your dog's normal energy level:

Where is the dog when you are not home? Please detail:

Where is the dog when you have visitors? Please detail:


Past Boarding Experience

Has your dog been boarded at a kennel before, and if yes, how did dog do?

Have you used a dog-sitter who stayed at your home, and if yes, how did dog do?

Have you used a dog-sitter who stayed at their home with your dog, and if yes, how did dog do?


Survey of Aggressive Behaviors Towards Humans

Please fill out this section even if you do not currently have any concerns about your dog's behavior towards people. Please characterize your dog's WORST reaction. Mark "?" if the response is unknown.

Pet dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Hug dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Kiss dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Lift dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Call off furniture ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Push off furniture ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Approach on furniture ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Disturb while sleeping ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Touch while eating ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Take food away ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Take water away ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Take toy away ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Approach when has toy ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Verbally punish ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Physically punish ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Visually threaten ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Stare at dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Bend over dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Step over dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Push on back ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Reach towards dog ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Leash restraint ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Collar restraint ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Harness restraint ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Put leash on/off ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Put harness on/off ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Dog at Vet ?No Negative ReactionBark/WhineGrowlSnarl/Bare TeethSnap/Bite

Has your dog EVER acted aggressively towards a human? YesNoNot Sure

Which of the following describes an human directed aggressive episode for your dog?
Attacks are sudden and surprisingEpisodes appear unprovokedThe dog is abruptly docile after an episodeThe dog appears "sorry" afterwardsThe dog appears disoriented afterwardsEpisodes are associated with a "glazed" or "absent" expressionI can usually tell what will set off my dogThe aggressive behavior is new and uncharacteristicThere have been no episodes of aggression towards humans

Total number of bites to humans (that did or did not break skin):

Total number of bites that have broken human skin:

Total number of human bites that have required medical care (visit to ER, hospital or doctor):

What parts of the body has the dog bitten and how severe were the injuries:

Please describe the circumstances of the most severe injury and the dog's behavior in detail:


Anything Else?

Is there anything else I should know about your dog?